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It is contraindicated in certain conditions such as active malignancy and must be used cautiously in those with diabetes, prediabetes, or a history of pituitary disease, which is why careful screening and regular monitoring are essential

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These forms can be taken in tablet form

Step 1: Hydration is Key The first of the four steps starts with general supplements and hydration : thiamine 600 1800 mg oral rehydration salts 20 mg in 1 L of water twice per week N-acetyl cysteine, multi-vitamin, and multi-mineral including potassium and magnesium The idea for thiamine (vitamin B1) came from a Danish paper by Bager and colleagues showing that people in remission from inflammatory bowel disease, yet still experiencing significant fatigue, improved when given high dose thiamine for 4 weeks

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The liver is the bodily organ that metabolizes alcohol